检查时机对子宫输卵管四维超声造影静脉逆流率的影响

The Effect of Time Selection on the Incidence of Contrast Agents Reflux during Four-Dimensional Hysterosalpingo-Contrast Sonography

目的:探讨经阴道子宫输卵管四维超声造影时机的选择对子宫内膜造影剂静脉逆流发生率的影响。方法:分析2015年5月-2016年12月因不孕到中山大学孙逸仙纪念医院就诊并行子宫输卵管四维超声造影的2108例患者的临床资料,将出现子宫内膜造影剂逆流现象者按进行造影时间分为4组,分别为月经干净后3-5天(A组)、6-8天(B组)、9-11天(C组)、12-14天(D组),比较不同时期子宫输卵管四维超声造影静脉逆流率。结果:A、B、C、D组的静脉逆流率分别为15.81%、9.03%、9.85%和8.50%,A组的静脉逆流率明显高于B、C、D组。结论:正确选择造影时机可减少造影过程中子宫内膜造影剂静脉逆流的发生率和提高诊断的准确性,应选择在月经干净后第6-14天进行造影。

Objective：To investigate the effect of time selection on the incidence of myometrium contrast agents reflux during transvaginal four-dimensional hysterosalpingo-contrast sonography（TVS 4 D-Hy Co Sy）. Methods：The 2108 cases were collected from infertility patients who had accepted 4 D-Hy Co Sy in Sun Yat-sen Memorial Hospital from Jun2015 to Dec 2016. Patients with myometrium contrast agents reflux were divided into 4 groups according to the time of examinationafter menstruation clean,respectively,3-5 days（group A）,6-8 days（group B）,9-11 days（group C）and 12-14 days（group D）. The data would be collected to analyze the effect of time selection on the incidence of myometrium contrast agents reflux. Results：The incidence of myometrium contrast agents reflux in different time of examination：15.81%（group A）,9.03%（group B）,9.85%（group C）and 8.50%（group D）. The differences of the incidence of myometrium contrast agents reflux ingroup Awas significantly higher than that in group B,group C and group D. Conclusion：Corrective selection of the time to do TVS 4 D-Hy Co Sy can reduce the incidence of myometrium contrast agents reflux and improve the accuracy of diagnosis. So we should choose to do TVS 4 D-Hy Co Sy in 6-14 days after menstruation clean.